Transanal endorectal approach for the treatment of idiopathic rectal prolapse in children: Experience with the modified Delorme's procedure
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In brief
In brief
This retrospective study of 14 pediatric patients (ages 2-17) demonstrates that the modified Delorme's transanal procedure effectively treats idiopathic rectal prolapse with zero recurrences and no complications during 15-68 month follow-up. The perineal approach avoids nerve injury risks associated with transabdominal techniques while maintaining fecal continence.
Written by the GCMD Library team from the article.
Background
Persistent or recurrent idiopathic rectal prolapse in children requires surgical intervention. Several techniques have been used to repair this problem. However, recurrence and complications continue to be a challenge in the management of this condition. Here we report our experience in using the modified Delorme's procedure to treat such patients.
Methods
We conducted a retrospective observational study of patients with idiopathic rectal prolapse who underwent the modified Delorme's procedure during 2013–2017. We analyzed the clinical characteristics of the patients and the recurrence and complication rates during a follow-up of 15–68 months.
Results
We included 14 patients. The age at operation ranged from 2 to 17 years, and the length of the prolapse was 3–15 cm. There were no intraoperative or postoperative complications. All patients achieved postoperative fecal control, and there were no recurrences.
Conclusion
The modified Delorme's procedure was effective for the treatment of idiopathic rectal prolapse. There were no recurrences or complications. Because it is a perineal technique, the procedure avoids the risk of nerve injury that exists for transabdominal methods.